NPI 1003094731

Charles McCafferty, MD, LLC

Organisation Adult Mental Health Clinic/Center Saint Paul, MN

Practice location

Address: 977 Summit Ave, Saint Paul, MN 55105-3032
Phone: (651) 227-6369
Fax: (651) 227-9545

Authorised official

Name: Charles McCafferty
Title: Owner
Phone: (651) 227-6369

Registered specialties

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 17268 (MN)

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1003094731
Entity type: Organization
NPI issued: 5 Feb 2008
Record last updated: 5 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.